Individual
SAMANTHA JERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 BENNETTS MILLS RD STE 1, JACKSON, NJ 08527-3850
(732) 415-1401
Mailing address
728 BENNETTS MILLS RD STE 1, JACKSON, NJ 08527-3850
(732) 415-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01027900
NJ
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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